结构式康复护理联合人文关怀护理在颈椎病患者术后恢复中的应用  

Application of structured rehabilitation nursing combined with humanistic care nursing in postoperative recovery of patients with cervical spondylosis.

作　　者：王艳君 张敏[1] 郑艳[1] 宋瑞鹏[1] WANG Yan-jun;ZHANG Min;ZHENG Yan;SONG Rui-peng(WardⅡ,Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州大学第一附属医院骨科二病区,河南郑州450000

出　　处：《海南医学》2024年第23期3482-3486,共5页Hainan Medical Journal

基　　金：河南省高等学校重点科研项目计划项目(编号:22B320015)。

摘　　要：目的探讨结构式康复护理联合人文关怀护理在颈椎病患者术后恢复中的应用效果。方法选择2022年10月至2023年12月在郑州大学第一附属医院收治的110例颈椎病术后患者作为研究对象,按随机数表法分为对照组和研究组各55例。对照组患者采用常规护理,研究组患者采用结构式康复护理联合人文关怀护理,两组患者均护理干预至出院。分别于干预前和干预后(出院时)采用医院自制的自我护理能力测定量表评价两组患者的自我护理能力,干预前和干预后(出院时),比较两组患者的NorthwickPark颈痛量表(NPQ)评分、匹兹堡睡眠质量指数(PSQI)评分和颈椎病临床评价量表(CASCS)评分,并比较两组患者住院期间的并发症发生率。结果干预前,两组患者的各项自我护理能力评分比较差异均无统计学意义(P>0.05);干预后,两组患者的各项自我护理能力评分均上升,且研究组患者的健康知识水平、自我概念、自我责任感、自我护理技能评分分别为(46.37±5.03)分、(46.24±4.01)分、(45.19±4.19)分、(43.17±5.03)分,明显高于对照组的(36.19±4.22)分、(34.87±3.29)分、(35.18±3.09)分、(33.18±4.85)分,差异均有统计学意义(P<0.05);干预前,两组患者的NPQ评分、PSQI评分及CASCS评分比较差异均无统计学意义(P>0.05);干预后,两组患者的NPQ评分、PSQI评分均明显降低,CASCS评分明显升高,且研究组患者的NPQ评分、PSQI评分分别为(19.65±1.43)分、(5.49±0.71)分,明显低于对照组的(24.81±1.88)分、(8.77±1.42)分,CASCS评分为(90.17±2.86)分,明显高于对照组的(83.17±4.05)分,差异均有统计学意义(P<0.05);住院期间研究组患者的并发症总发生率为5.45%,略低于对照组的9.09%,但差异无统计学意义(P>0.05)。结论结构式康复护理联合人文关怀护理能够提高颈椎病患者自我护理能力,减轻围术期疼痛,提高睡眠质量。Objective To explore the application effect of structured rehabilitation nursing combined with hu-manistic care nursing in postoperative recovery of patients with cervical spondylosis.Methods A total of 110 postoper-ative patients with cervical spondylosis in the First Affiliated Hospital of Zhengzhou University from October 2022 to December 2023 were selected and randomly divided into a control group and a study group using a random number table method,with 55 patients in each group.Patients in the control group received routine nursing,while those in the study group received structural rehabilitation nursing combined with humanistic care nursing,all until discharge.Before and af-ter the intervention(at discharge),the self-care ability of the patients in the two groups was evaluated by the self-care ability scale made by the hospital.The score of Northwick Park Neck Pain Scale(NPQ),Pittsburgh Sleep Quality Index(PSQI),and Cervical Spondylosis Clinical Evaluation Scale(CASCS)were compared between the two groups,and the incidence of complications was also compared.Results Before intervention,there was no significant difference in the scores of self-care ability between the two groups(P>0.05).After intervention,the scores of self-care ability increased in both groups;the self-care ability scores(health knowledge level,self-concept,sense of responsibility,and self-care skills score)of the study group were(46.37±5.03)points,(46.24±4.01)points,(45.19±4.19)points,and(43.17±5.03)points,which were significantly higher than the control group's(36.19±4.22)points,(34.87±3.29)points,(35.18±3.09)points,and(33.18±4.85)points;the differences were statistically significant(P<0.05).Before intervention,there were no statisti-cally significant difference in NPQ score,PSQI score,and CASCS score between the two groups(P>0.05).After inter-vention,the NPQ score and PSQI score of both groups were significantly decreased,while the CASCS score significant-ly increased;the NPQ score and PSQI score of the study group were(19.65±1.4

关 键 词：颈椎病 结构式康复护理 人文关怀护理 睡眠质量 自我护理能力 

分 类 号：R473.6[医药卫生—护理学]